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N/A N=20 Health Services Research

IMproving Pain Using Peer RE-inforced Self-management Skills

Chronic Pain

Enrolled (actual)
20
Serious AEs
0.0%
Results posted
Mar 2015
Primary outcome: Primary: Pain/Enjoyment of Life/General Activity — -1.24 units on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Peer-Delivered Pain Self-Management (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
US Department of Veterans Affairs
Primary completion
Oct 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Pain/Enjoyment of Life/General Activity
-1.24
SECONDARY
Pain Catastrophizing Scale
-5.12
SECONDARY
Multidimensional Perceived Social Support Scale (MPSS).
6.96
SECONDARY
Patient Reported Outcome Measurement System (PROMIS)
-4.18
SECONDARY
Pain Centrality Scale
-5.29

Summary

The overall purpose of this pilot study is to conduct a formative evaluation of (veteran)peer delivery of a chronic pain self-management program to veterans with chronic musculoskeletal pain. Our specific aims are as follows: Aim 1: Evaluate the feasibility of identifying, recruiting, training, and retaining veteran peers to implement a self-management program for chronic pain. Aim 2: Identify facilitators and barriers to peer-delivery of a chronic pain self-management program. Aim 3: Convene an expert panel to review the results of Aims 1 and 2, help to interpret the results, and plan next steps.

Eligibility Criteria

Inclusion Criteria

  • Peers will be eligible if they have chronic musculoskeletal pain and have completed a pain self-management program from any of these chronic pain trials:
  • Stepped Care for Depression and Musculoskeletal Pain (SCAMP)
  • Evaluation of Stepped Care for Chronic Pain in Iraq and Afghanistan Veterans (ESCAPE)
  • CAre Management for the Effective use of Opioids (CAMEO)
  • Or participants of the VA Pain School or VA Pain program
  • Peers may also be recommended by their primary care providers at the VA
  • Eligible patients must have musculoskeletal pain in the low back, cervical spine, or extremities (hip, knee, or shoulder) that has persisted for 3 months
  • And have pain of at least moderate intensity as defined by a Brief Pain Inventory score 5

Exclusion Criteria

  • Patients will be excluded if they have active suicidal ideation
  • Have been hospitalized for psychiatric or substance abuse reasons in the last 6 months pending back surgery
  • Current substance dependence
  • Severe medical conditions (e.g., New York Heart Association Class III or IV heart failure) that precludes participation
  • Or severe hearing or speech impairment
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01748227). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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